ZARA EVANS
Subscriber on policy B02M000277
Claims
1
Attributed to this person
Charged
838.00
Total submitted
Denied
312.36
1 denied claims
Patient responsibility
0.00
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | ZARA EVANS |
| Role on the policy | Subscriber |
| Policy | B02M000277 |
| Date of birth | 19 Mar 2001 |
| Plan | BRONZE EPO |
| Covered from | 22 Jun 2025 |
| Covered to | open |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0001206 | 28 Apr 2026 | 838.00 | CASCADE CARE | CARC 16 · BILLING_ERROR | 312.36 |